There have been numerous stories in the local and national news regarding the status of managed care and HMOs in particular. workerscompensationmichigan These stories address a wide variety of issues from the quality of care provided by HMOs to their financial stability. As a result of this news coverage, you may have questions about medical workerscompensationmichigan stuff, like most health plans, has weathered difficult financial times for the past couple years. In order to regain its balance, has worked hard to control medical costs, keep administrative costs low and price its products appropriately. These strategies have dramatically improved the Company''s financial position over the past 15 months. In fact, during last year, they achieved an operating margin of 1.7%.

This level of financial performance is expected to continue workerscompensationmichigan into the future Due to the Company''s remarkable growth, is now evaluated by many external rating agencies. These agencies rate HMOs based upon information that is available to the general public. Some agencies do a more thorough job than others. Some discuss the results with the HMO''s management prior workerscompensationmichigan to releasing them and others do not. They offer a wide range of commercial group insurance products for employer groups from as few as two employees to as many as 2 million employees. All of our products feature the use of “Managed Care” concepts, where members utilize a specific network of providers to deliver cost effective quality care to the patient.

In the traditional delivery model, where consumers were able to workerscompensationmichigan choose any provider and have services covered, this type of inappropriate provider selection commonly workerscompensationmichigan occurred and escalated health care costs. The providers within managed care networks are frequently evaluated by the organizations. The organizations look at appropriate use of resources and various quality indicators, including outcome measures. Physicians and other providers within managed care systems are often salaried as employees or reimbursed on a capitation method (flat fee paid per patient per year); therefore, their individual incomes are not directly influenced by the number of patients seen, tests ordered, or procedures performed.

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